دورية أكاديمية
أعرض في EDS

Sex inequality in under-five deaths and associated factors in low and middle-income countries: a Fairlie decomposition analysis.

التفاصيل البيبلوغرافية
العنوان: Sex inequality in under-five deaths and associated factors in low and middle-income countries: a Fairlie decomposition analysis.
المؤلفون: Fagbamigbe AF; Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Morakinyo OM; Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Balogun FM; Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. fbalogun@cartafrica.org.
المصدر: BMC public health [BMC Public Health] 2022 Feb 16; Vol. 22 (1), pp. 334. Date of Electronic Publication: 2022 Feb 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Developing Countries* , Income*, Child ; Child, Preschool ; Female ; Humans ; Infant, Newborn ; Male ; Poverty ; Prevalence ; Socioeconomic Factors
مستخلص: Background: There exist sex disparities in the burden of Under-five deaths (U5D) with a higher prevalence among male children. Factors explaining this inequality remain unexplored in Low-and Medium-Income Countries (LMIC). This study quantified the contributions of the individual- and neighborhood-level factors to sex inequalities in U5D in LMIC.
Methods: Demographic and Health Survey datasets (2010-2018) of 856,987 under-five children nested in 66,495 neighborhoods across 59 LMIC were analyzed. The outcome variable was U5D. The main group variable was the sex of the child while individual-level and neighborhood-level factors were the explanatory variables. Fairlie decomposition analysis was used to quantify the contributions of explanatory factors to the male-female inequalities in U5D at p<0.05.
Results: Overall weighted prevalence of U5D was 51/1000 children, 55 among males and 48 among females (p<0.001). Higher prevalence of U5D was recorded among male children in all countries except Liberia, Kyrgyz Republic, Bangladesh, Nepal, Armenia, Turkey and Papua New Guinea. Pro-female inequality was however not significant in any country. Of the 59 countries, 25 had statistically significant pro-male inequality. Different factors contributed to the sex inequality in U5D in different countries including birth order, birth weight, birth interval and multiple births.
Conclusions: There were sex inequalities in the U5D in LMIC with prominent pro-male-inequality in many countries. Interventions targeted towards the improvement of the health system that will, in turn, prevent preterm delivery and improve management of prematurity and early childhood infection (which are selective threats to the male child survival) are urgently required to address this inequality.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Fairlie decomposition; Low- and middle-income countries; Sex inequality; Under-five death
تواريخ الأحداث: Date Created: 20220217 Date Completed: 20220419 Latest Revision: 20220419
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8851802
DOI: 10.1186/s12889-022-12679-y
PMID: 35172780
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-022-12679-y